摘要
目的 探讨妊娠期体质量管理对超重孕妇妊娠结局和产科并发症发生的影响。方法 回顾性分析2019年6月至2021年7月于宝鸡市妇幼保健院产检及分娩的109例超重孕产妇的临床资料,按照不同管理方法分组,其中50例采取常规产检及孕期常规护理者纳入对照组,59例在此基础上采取体质量管理者纳入观察组。比较两组孕妇体质量增长情况,空腹血糖、口服糖耐量试验(OGTT)服糖后1 h、服糖后2 h血糖水平,妊娠结局、胎儿结局及并发症发生情况。结果 观察组孕妇体质量增长正常者占94.92%,明显高于对照组的74.00%,增重速率及孕期总增重分别为(0.24±0.12) kg/周和(11.28±1.56) kg,明显低于对照组的(0.65±0.16) kg/周和(14.01±2.10) kg,差异均有统计学意义(P<0.05);观察组孕妇的OGTT空腹血糖及服糖后1 h血糖值分别为(4.98±0.52) mmol/L和(9.06±1.20) mmol/L,明显低于对照组的(5.46±0.66) mmol/L和(9.85±1.78) mmol/L,且其妊娠期糖尿病(GDM)发生率为1.69%,明显低于对照组的12.00%,差异均有统计学意义(P<0.05);观察组孕妇口服葡萄糖后2 h血糖值为(8.24±1.26) mmol/L,略低于对照组的(8.56±1.45) mmol/L,但差异无统计学意义(P>0.05);观察组孕妇剖宫产、巨大儿所占比例分别为16.95%和3.39%,明显低于对照组的40.00%和14.00%,差异均有统计学意义(P<0.05);观察组的新生儿Apgar评分为(8.99±0.74)分,明显高于对照组的(7.82±0.46)分,差异有统计学意义(P<0.05);观察组孕妇妊娠期高血压、早产、产褥期感染、胎儿窘迫等并发症发生率均为1.69%,略低于对照组的12.00%、6.00%、2.00%、6.00%、2.00%,但差异均无统计学意义(P>0.05)。结论 对超重孕妇孕期实施体质量管理,可控制孕妇体质量合理增长,维持正常血糖水平,减少巨大儿出生率及剖宫产率,降低产后并发症发生率。
Objective To investigate the effect of body mass management during pregnancy on pregnancy outcomes and obstetric complications in overweight pregnant women.Methods The clinical data of 109 overweight pregnant women who received obstetric examination and delivery in Baoji Maternal and Child Health Hospital from June2019 to July 2021 were retrospectively analyzed.According to different management methods,50 of them received routine obstetric examination and routine nursing during pregnancy were included in the control group,and 59 by adopted body mass management based on the control group were included in the observation group.The body mass gain,fasting blood glucose,blood glucose levels at 1 h and 2 h after taking sugar in oral glucose tolerance test(OGTT),pregnancy outcomes,fetal outcomes,and complications were compared between the two groups.Results The proportion of normal weight gain of pregnant women in the observation group was 94.92%,which was significantly higher than 74.00%in the control group.The weight gain rate and total weight gain during pregnancy in the observation group were(0.24±0.12) kg/week and(11.28±1.56) kg,respectively,which was significantly lower than(0.65±0.16) kg/week and(14.01±2.10) kg in the control group(P0.05).The proportions of cesarean section and macrosomia in the observation group were 16.95% and 3.39%,which were significantly lower than 40.00% and 14.00% in the control group(P0.05).Conclusion Implementing body mass management for overweight pregnant women during pregnancy can bring the reasonable increase of pregnant women’s body mass,maintain normal blood sugar level,reduce the rate of macrosomia and cesarean section,and reduce the incidence of postpartum complications.
作者
王立娟
陈丽
李晓雯
冯小宁
WANG Li-juan;CHEN Li;LI Xiao-wen;FENG Xiao-ning(Department of Obstetrics,Baoji Maternal and Child Health Hospital,Baoji 721000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2022年第19期2516-2519,共4页
Hainan Medical Journal
基金
陕西省重点研发计划项目(编号:2021SF-211)。
关键词
妊娠期
体质量管理
超重孕妇
妊娠结局
产科并发症
Pregnancy
Body mass Management
Overweight pregnant women
Pregnancy outcomes
Obstetric complications
